Replying to @MemoryExpress
@MemoryExpress pretty please update on 9800X3D shipping and 50 series GPU releases. We’re figuratively dying out here waiting to build.
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Well @telusmobility so far this has been great. Over 2 hours on the phone. And I have to sit in my car because if I go home my call will drop like usual.
All for $180 charge on my bill that shouldn’t be there.
Pretty lousy service all around.
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Replying to @heli_med_james @TheResusRoom
1. Emphasize patient wishes/choice. Maybe they want to decline having their glucose checked or an IV placed (or transport)
2. Make everyone read ‘Being Mortal’
3. Please treat pain (in line with their goals/regimen if it works out)
4. Go slow
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Have done lots of IFT ICU calls and HEMS scene calls in the last while, but my first prehospital thrombolysis call filled my bucket. Healthy Pt, sudden onset. A little tricky with just me and my BLS team but worked out great for the young patient. It’s a neat job. (pre/15 m post)
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Replying to @PulmCrit
No argument here, just proving difficult to get a better system off the ground. We always seem to start with ‘no’ and have to work from the bottom. Worth the fight though.
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Replying to @PulmCrit
Interesting that the practice is supported. Makes perfect sense to want to know about those you care for - but follow-up for RN/paramedics on patients is near-impossible due to privacy people getting excited.
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Replying to @TheLeeMcLaren
All crew here have pelvic binders and our CPG is as clear as it can be and I think finds a reasonable balance.
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Replying to @BrooksWalsh @LavergneNatalie
Probably due to downplaying T waves, missing ST elevation that is concave precordially and not appreciating subtle reciprocal change. OMI is new. Trying to enter it into the vernacular here.
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Thanks @cityofnanaimo the school bus managed my scary street with an inch of snow, but by all means don’t pick up recycling for a month. What a joke. Enjoy my additional tax money.
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Replying to @rosesusitation
About to roll it out to all levels of paramedics province-wide. Will be a great addition to a more holistic approach to pain.
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Replying to @WAAMBMEDIC
We need to train people to listen, not simply deliver a handover. 2-way street. Even repetition doesn’t guarantee message received. Or maybe I’m just daft.
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Replying to @Huzaifahsmd @nickmmark @NidaQadirMD @msiuba @DrAmirKaki @FutureDocs @ogi_gajic @PulmCrit @MegriMohammed @CriticalCareNow @Singh011Jaspal @GallodeMoraesMD @EmmGeezee @IM_Crit_
Probably neither. IFT work is increasingly (and should be) done by providers fully qualified to undertake the transfer. If an issue develops they have the responsibility to identify a clinical problem and act appropriately.
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And often with people that might even be considered too unstable to take down the hall to CT…great work folks.
When unable to fly, the #BCEHS AirEvac and Critical Transport programs responds by alternate means…today three crews responded by ferry boat and/or hovercraft…
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Replying to @richardarmour99
Wow thanks Richard. Was fun to present (despite the imposter syndrome). Great speakers made for an eye opening experience. More to come I hope!
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